使用 2 个微导管对动静脉畸形进行 ONYX 栓塞。
Onyx embolization of arteriovenous malformations using 2 microcatheters.
机构信息
Department of Neurosurgery, Rush University, Chicago, Illinois 60614, USA.
出版信息
Neurosurgery. 2010 Mar;66(3):616-8; discussion 618-9. doi: 10.1227/01.NEU.0000365368.08451.08.
OBJECTIVE
To report an operative technique using 2 microcatheters placed in different arterial pedicles for Onyx (ev3 Neurovascular, Inc, Irvine, CA) embolization of cerebral arteriovenous malformations (AVMs).
TECHNIQUE
Two cases illustrate this approach to embolization of AVMs. Microcatheters are placed in 2 different arterial pedicles of the AVM. Subsequently, the embolic material is injected in an alternate fashion between the microcatheters until occlusion of the AVM.
CONCLUSION
The 2-microcatheter technique for embolization of AVMs with Onyx was performed safely. The technique allowed for less interruptions of injection and better control of the reflux of Onyx in the arterial pedicle during treatment. This technique presents an alternate approach to conventional AVM embolization.
目的
报告一种使用 2 个微导管置于不同动脉蒂内进行 Onyx（ev3 神经血管公司，欧文，加利福尼亚州）栓塞脑动静脉畸形（AVM）的手术技术。
技术
2 个病例说明了这种栓塞 AVM 的方法。微导管放置在 AVM 的 2 个不同的动脉蒂内。随后，在微导管之间交替注射栓塞材料，直到 AVM 闭塞。
结论
使用 Onyx 进行 AVM 栓塞的 2 微导管技术是安全的。该技术减少了注射中断次数，并在治疗过程中更好地控制了 Onyx 在动脉蒂内的反流。该技术为传统的 AVM 栓塞提供了另一种方法。
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